ABSTRACT
Analysis is made of mental disorders seen in 3431 victims followed up by psychiatrists in 11 large-scale catastrophies and natural disasters. Three periods of the development of the life-threatening situation were distinguished, during which one can see different states of mental disadaptation and morbid disorders. The clinical picture of such disorders is provided.
Subject(s)
Accidents , Adjustment Disorders/etiology , Anxiety Disorders/etiology , Disasters , Stress Disorders, Post-Traumatic/etiology , Accidents, Traffic , Humans , Nuclear Reactors , Power Plants , Railroads , Time Factors , USSRSubject(s)
Affective Symptoms/therapy , Disasters , Mental Disorders/therapy , Affective Symptoms/diagnosis , Affective Symptoms/etiology , Affective Symptoms/psychology , Emergencies , Humans , Mental Disorders/diagnosis , Mental Disorders/etiology , Mental Disorders/psychology , Psychopathology , USSRABSTRACT
Phenomenology and time course of psychic disorders in persons exposed to life-threatening emergency situations provoked by the Chernobyl accident have been analyzed. Three states could be identified according to differences in their psychogenic impact: acute, delayed and long-term. Psychic dysadaptation and disorders might be presented as results of a single process beginning with acute anxiety responses followed by asthenic disorders which backed the relatively steady neurotic and psychopathic states.
Subject(s)
Accidents , Adaptation, Psychological , Anxiety Disorders/etiology , Nuclear Reactors , Power Plants , Radiation Injuries/psychology , Stress, Psychological/etiology , Emergencies , Humans , Radiation Injuries/etiology , UkraineABSTRACT
The case reports of 150 schizophrenic adults over a period of ten years were analyzed. The study was based on a series of clinical-biological, "microsocial" and "psychosocial" parameters and covered 742 hospital admissions and the same number of interhospitalization periods (IHP). Such factors as "syndrome", "alcoholization", "system of interpersonal (intrafamilial) relations" were found to have the greatest impact on the behavioural pattern leading to hospitalization. According to the presence or absence of changes in the magnitude of these factors by the moment of hospitalization in respect to the previous IHP, five "types" of hospital admissions were outlined. The authors analyze the efficacy of the current and recommend additional measures of hospitalization prevention, taking into consideration the major desadaptation factors.
